| NPI | 1184853079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A. BUTTNER Owner 505-338-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: NM D1722) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |